White Oak Psychotherapy, Ltd | |
6839 Macbeth Cir Woodbury MN 55125-2407 | |
(612) 351-0055 | |
Not Available |
Full Name | White Oak Psychotherapy, Ltd |
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Speciality | Clinic/center - Adult Mental Health |
Location | 6839 Macbeth Cir, Woodbury, Minnesota |
Authorized Official Name and Position | Bethany Lanis (PRESIDENT) |
Authorized Official Contact | 6123510055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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White Oak Psychotherapy, Ltd 2042 Wooddale Dr Ste 250 Woodbury MN 55125-4421 Ph: () - | White Oak Psychotherapy, Ltd 6839 Macbeth Cir Woodbury MN 55125-2407 Ph: (612) 351-0055 |
NPI Number | 1669299426 |
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Provider Enumeration Date | 09/23/2024 |
Last Update Date | 09/23/2024 |
Certification Date | 09/23/2024 |
Identifier | Type | State | Issuer |
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1669299426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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